CHI93FA050

NTSB accident investigation · Cessna 177B · Kansas City, MO · December 7, 1992

Accident · FatalField investigationFinal report
Date
December 7, 1992, 06:12 local (12:12 UTC)
Place
Kansas City, MO
Injuries
1 fatal, 1 serious
Damage
Destroyed
Phase of flight
Enroute
Aircraft
N11889Cessna 177B
Weather
Instrument (IMC) · Night/dark
Status
Completed · report January 4, 1994
Report
Approved by Office Director
FAA report
19921207049229A
Case key
15581

From the NTSB’s public API. By law, NTSB reports can’t be used as evidence in lawsuits over the accident.

On this page

Probable cause

The pilot-in-command's failure to maintain a positive rate of climb during a missed approach. Factors which contributed to the accident were: inoperative gyro instruments due to a broken vacuum pump, the dark night, adverse weather conditions, and rising terrain.

Sequence of events

NTSB’s coding before 2008: each occurrence and phase of flight, and the causes and factors under it. The codes are defined in NTSB’s coding manual.

Airframe/component/system failure/malfunctionCruise - normal
Engine accessories,vacuum pump - failure,totalCause
In flight collision with terrain/waterMissed approach (ifr)
Weather condition - low ceilingFactor
Weather condition - obscurationFactor
Weather condition - fogFactor
Light condition - dark nightFactor
Flight/nav instruments,attitude gyro - inoperativeFactor
Flight/nav instruments,directional gyro - inoperativeFactor
Terrain condition - risingFactor
Proper climb rate - not maintainedPilot in commandCause

Analysis

En route to his destination, during level flight at 9,000 ft, the pilot advised ATC that his gyro was inoperative. When asked if he would need any special assistance at his destination, he declined. During the ILS approach he was issued a new visibility of 1/4 mile. He subsequently executed a missed approach, and was instructed to climb and maintain 2,500 ft for no-gyro vectors. The airplane impacted rising terrain 1/4 mile from the departure end of the ILS runway. Exam of the vacuum pump revealed that the rotor was broken; one vane was broken, and two pieces were wedged in one vane slot. The rotor assembly would not rotate. The pilot's toxicological results showed 33.500 ug/ml of acetaminophen in the urine, along with diphenhydramine. This combination is found in common non-prescription drugs such as 'buffrin af nite time' and 'excedrin p.m.'

Aircraft

Registration
N11889
Reported as
Cessna 177B
Category
Airplane
Serial number
17702379
Airframe hours
4,084
Engine
Lycoming O-360-A1F6D, 180 horsepower, reciprocating
Damage
Destroyed
Flight
Personal · Part 91
Operator
Dart, John C.
Registered owner
Dart, John C.
Airworthiness certificate
Standard, Normal; Standard, Utility
Last inspection
Annual · March 12, 1992 · 79 hours before
Departed
RPB · Belleville, KS
Flight plan
IFR
Airport
MCI · Kansas City International, runway 19R, 10,801 × 150 ft, asphalt

Matched to the registry by N-number and the event date; the registry’s history has gaps, so older matches can be wrong. Compare the reported make and model.

Flight crew

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
73
Certificates
Flight instructor, Airline transport, Commercial
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 2, Valid Medical--no waivers/lim.
Seat
Right
Toxicology
Performed
Flight hours
17,500 total

Weather

Conditions
Instrument (IMC) · Night/dark
Wind
300° at 4 knots
Visibility
1 statute miles
Lowest ceiling
200 ft overcast
Temperature
27 °F, dew point 25 °F
Altimeter
30.00 inHg
Observed at
MCI, 1 nm away

FAA reports on this event · 1

The FAA’s own accident and incident reports, matched to the aircraft by N-number and date.